Articles related to PAIN

According to the findings of the study, gabapentin should not be used on a regular basis. Individualization is required, based on the type of pain and the risk of delirium. If gabapentin is used to control postoperative pain, it must be closely monitored for the development of delirium. Low-dose opioids, along with nonpharmacologic pain management strategies such as postoperative physical therapy and mobilization, can still be used safely in the study population. Rather than relying on a single medication, a more holistic approach to postoperative pain control in the hospital setting is required.

This 62-year-old man had a lung transplant 3 years previously for IPF and is on tacrolimus, mycophenolate, and prednisone. Which therapy is most appropriate for their zoster outbreak? IV acyclovir Oral famciclovir Oral valacyclovir Herpes zoster vaccine

By 2018, gabapentin and opioids were prescribed in an overlapping manner in 7.6% of prescriptions. Prescribers are likely responding to restrictions on opioid prescribing put in place during the opioid epidemic. Increased co-prescribing was most frequently done under the direction of a pain specialist. Still, the effectiveness of the concurrent prescribing of opioids and gabapentin is uncertain and potentially dangerous because of an association with all-cause and drug-related hospitalizations.

“The perfect storm of lazy MDs, an incompetent ASA and the dramatic taming of the traditionally wild surgical procedures and advances in anesthesia have set up the perfect stage for the aggressive takeover of the specialty by the nursing realm, where it all started in the first space. Today’s MD anesthesiologists have ceded control of the specialty and are rightly a footnote in history—not ‘misunderstood’ at all, as Dr. Sherer would have us believe.”

A 5-year-old boy from China who had IgA vasculitis at age 2 presented with progressively painful skin ulcerations on his extremities for the past month. Find the reason behind the skin lesions on this young boy by answering the image challenge.

This broad review of recent studies in women’s health topics aims to help the primary care physician in discussing and guiding therapy for women in topics from cardiovascular disease to pelvic pain. The review covers such questions as: How does migraine with aura affect CVD risk in women? How do you respond to patient questions about fracture risk and bisphosphonates? Are antidepressants safe for women who are considering pregnancy? Is gabapentin effective for chronic pelvic pain?